What Is Biliary Tract Disorder?

What Is Biliary Tract Disorder?

Acute calculus cholecystitis is an inflammation of the gallbladder that develops in the setting of an obstructed cystic or bile duct. It usually develops after 5 hours of biliary-type pain. The initial inflammation is caused by chemical irritation, and bacterial infection probably is a secondary event.

Types:

malignant neoplasm of the gallbladder
malignant neoplasm of other parts of biliary tract
extrahepatic bile duct
ampulla of Vater
cholelithiasis
cholecystitis
others (excluding postcholecystectomy syndrome), but including
other obstructions of the gallbladder (like strictures)
hydrops, perforation, fistula
cholesterolosis
biliary dyskinesia
K83: other diseases of the biliary tract:
cholangitis (including ascending cholangitis and primary sclerosing cholangitis)
obstruction, perforation, fistula of biliary tract
spasm of sphincter of Oddi
biliary cyst
biliary atresis

Symptoms of possible biliary disease:

Although symptoms may differ among bile duct disorders, symptoms common to many of the disorders include:

Jaundice (yellowing of the skin and whites of the eyes)
Abdominal pain, especially in the upper right side of the abdomen under the rib cage
Nausea or vomiting
Loss of appetite, which may result in weight loss
Fatigue
Fever or chills
Itching
Light brown urine
Greasy or clay-colored stools

Diagnosis:

The tests performed vary according to the suspected bile duct disorder. However, tests commonly performed to diagnose many bile duct disorders may include:

*Blood tests
*Liver function tests
**Ultrasound
*Endoscopic ultrasound
*Computed tomography (CT) scan
*Magnetic Resonance Imaging (MRI)
*Endoscopic retrograde cholangiopancreatography (ERCP)
*Liver biopsy